Kuopsa kwa magazi hypoglycemia - mawonetsedwe ndi zovuta zina

Hypoglycemia imatchulanso zikhalidwe za kanthawi kochepa komwe kuchuluka kwa glucose m'magazi a zotumphukira kumagwera pansi pamalire ochepa a 3.5 mmol / L. Ndi kupatuka uku, kupangika kwapadera kwa chizindikiro kumapangidwa, komwe kumatchedwa hypoglycemic syndrome.

Vutoli limakhala loopsa kwambiri kwa odwala matenda a shuga, chifukwa pakakhala kuti palibe chindapusa cha glucose wamagazi, matendawa amatha kuyamba.

Zachilengedwe

Ndiye kuti, zizindikiro za hypoglycemia zitha kupezeka mwa munthu wathanzi ndi izi:

• Njala, kuperewera kwa zakudya m'thupi, zakudya zamagulu (kuchepa kwa mchere, ma fiber, mavitamini). Izi ndizomwe zimayambitsa kukula kwa zizindikiro za hypoglycemia mwa munthu wathanzi. Ngati mumakana kudya zakudya zabwinobwino kwa nthawi yayitali, kenako nkumadya zakudya zamafuta, shuga wamagazi amatuluka msanga, komanso mwachangu ndipo amadyedwa mpaka kutsika kuposa masiku ena.
• Zakumwa zokwanira. Kuperewera kwa madzi m'thupi kumapangitsa kuti shuga azikhala ndi magazi osafunikira.
• Kupsinjika Kupsinjika kwa m'maso kumayambitsa dongosolo la endocrine, lomwe limayambitsa kuthamanga kwa shuga m'magazi munthawi yochepa.
• Mankhwala osokoneza bongo omwe amayatsidwa mu zakudya. Zikondwerero zoyambira kumbuyo kwa maswiti ochulukirachulukira zimagwiritsidwa ntchito kupangira insulin yambiri. Ndi insulin yochulukirapo, kuchuluka kwa shuga m'magazi kumatha kuchepa.
• Kuchita zolimbitsa thupi mwamphamvu. Thupi limachulukitsa kumwa kwa glycogen osungika ndi kumwa shuga m'magazi panthawi yophunzirira kwambiri kapena kulimbitsa thupi, zomwe zimapangitsa kutsika kwa thupi mu shuga.
• Msambo. Kutsika kwa shuga kungachitike motsutsana ndi maziko a dontho lakuthwa pakupanga kwa estrogen ndi progesterone, komwe mozikika molimba kumachulukitsa (estrogen) ndikusintha shuga ya magazi.
• Zokhudza thupi hypoglycemia yatsopano ya tsiku loyamba la moyo. Mwana akangobadwa, mphamvu za mwana zimakhudzidwa ndi shuga wa amayi ake, ochepa omwe amasungidwa m'mitsempha yama umbilical. Koma kuchepa msanga kwa masitolo a glycogen kumabweretsa kutsika kwa glucose magawo 1-2 a moyo. Pang'onopang'ono, pakukhazikitsa zakudya mwa ana athanzi, chizindikirochi chimabwezeretseka. Komabe, matenda obadwanso mwatsopano amathanso kuchitika.
• Kukhazikitsidwa kwa voliyumu yayikulu yamchere (NaCl) kudzera m'mitsempha, kutsitsa kuchepa kwa shuga m'magazi.

Zimayambitsa Hypoglycemia mu odwala matenda ashuga

Kudumpha chakudya ndi wodwala matenda ashuga. Kusowa kwa mphamvu, thupi limayamba kugwiritsa ntchito glucose kuchokera ku depot - glycogen kapena, mopepuka, wowuma, omwe anthu omwe ali ndi matenda a shuga amakhala ochepa ndipo samalipirira kufunika kwa glucose (onani zizindikiro za matenda a shuga).

Zoyambitsa Zoyambitsa Zimayambitsa mwa Anthu Opanda Matenda A shuga

Zomwe zalembedwa pansipa zitha kuzindikirika mu matenda ashuga, kokha hypoglycemia imangokhala yowala komanso yachangu kuposa anthu opanda shuga.

• Kuthetsa madzi m'thupi. Pakakhala madzi m'magazi otumphukira, kuchepa kwa mavitamini, mchere ndi shuga m'magazi kumayang'aniridwa, chifukwa amachoka m'thupi ndi thukuta ndi mkodzo ndipo samalipidwa kuchokera kunja (onani zizindikiro ndi zomwe zimapangitsa madzi kusowa kwamadzi).
• Kutopa. Akatha, glycogen yosungirako imatsika kwambiri, motero, glucose samalowa kunja ndipo sangaperekedwenso ndi ndalama zamkati mwathupi lathupi.
• Matenda a chiwindi (cirrhosis, necrosis, kulephera kwa chiwindi), momwe njira yopangira shuga imasokonekera (onani zizindikiro za matenda a chiwindi).
• Kuperewera kwa Hormone: cortisol (ikhoza kuchitika chifukwa chakuchotsa kwa corticosteroid mankhwala, kuperewera kwa adrenal cortex), kukula kwamagulu, adrenaline ndi glucagon, zomwe zimapangitsa kuti pakhale shuga mu chiwindi, hypopituitarism (kusakwanira kwa pituitary gland)
• Kuchepetsa chakudya - kuphatikiza matenda am'mimba (colitis, enteritis, kutaya matenda).
• Meningitis, encephalitis, sarcoidosis
• Mowa, uchidakwa. Metabolism ya Ethanol imachitika m'chiwindi pogwiritsa ntchito enzyme mowa dehydrogenase. The cofactor yomwe imayambitsa njirayi ndi NAD - chinthu chapadera chomwe chimakhudzidwa ndi kapangidwe ka shuga. Mowa wambiri umalowa mthupi, umachulukitsa kuchuluka kwa NAD, kwinaku akuletsa njira ya gluconeogeneis ndikupangitsa kutsika kwa glucose m'magazi.
• Kusakwanira kwenikweni kwa ziwalo zofunika: mtima, chiwindi, ndi impso (onani zizindikiro za matenda a impso) - zomwe zimayambitsa kukhumudwa kwa thupi lonse komanso kusokonezeka kwa shuga m'magazi.
• Sepsis. Kuchulukitsa kwa glucose komwe kumachitika ndi minofu yambiri yokhala ndi macrophages ambiri, mofanananira, kupanga kwa insulin kumawonjezera ndipo kuphatikiza kwa shuga m'chiwindi kumachepetsedwa kwambiri.
• Pancreatic insulinoma (chosaopsa kapena cholakwika neoplasms), motsutsana ndi kumbuyo kwake komwe kumagwiritsa ntchito shuga.
• Malipso obadwa nawo: autoimmune hypoglycemia, 5-cell hypersecretion, 7-ectopic insulin secretion, momwe mulibe shuga wopanga.

Limagwirira a kupanga magazi

Mutatha kudya chakudya chamafuta, thupi limalandila shuga, yemwe amafalitsidwa ndi magazi m'maselo onse. Glucose akangoyamba kulowa m'magazi (otengedwa kuchokera kugaya chakudya), kapamba amayamba kubisalira insulin, yomwe imathandiza maselo kugwiritsa ntchito shuga omwe akubwera ngati gwero lamphamvu. Mwa anthu athanzi, kuchuluka kwa glucose omwe amalandila komanso gawo la insulin nthawi zonse limakhala lofanana.

Odwala omwe ali ndi matenda a shuga omwe amadalira insulin, kapamba sangathe kupanga kuchuluka kwa insulini, ndipo amayenera kuperekedwa kuchokera kunja, komanso muyezo woyenera.

Gulu

Malinga ndi kutha kwa maphunzirowa, mkhalidwe wakusowa kwa magazi m'magawidwa m'magawo atatu:

• Zosavuta (2.7-3.3 mmol / l, onani kuchuluka kwa shuga wamagazi) - munthuyo amadziwa, amatha kuyimitsa payekha kusowa kwa shuga. Ngati shuga salowa m'magazi kwa mphindi 20-30, pamakhala digiri yayikulu ndipo ngakhale chikomokere.
• Severe (2-2.6 mmol / L) - munthu amadziwa, koma sangathe kudzithandiza yekha popanda thandizo lakunja.
• Hypoglycemic coma (Symbolatic hypoglycemia yomwe imapezeka mwa odwala omwe ali ndi matenda osokoneza bongo omwe ali ndi dontho lakuthwa m'magazi a magazi kuchokera kumtunda kupita kuzinthu zofunikira ndipo safuna kuwongolera. Nthawi yomweyo, zizindikiro zofanana ndi zomwe zimachitika. Kupewa kudumpha kwadzidzidzi mu shuga, odwala matenda ashuga ayenera kutsatira zakudya nthawi zonse) (onani chakudya cha matenda ashuga).

Zamasamba

• Dongosolo kuzungulira, amnesia
• Anachepetsa chidwi ndi ntchito
• Mutu
• Chizungulire
• Kuperewera koyendetsa kayendedwe
• Paresthesia
• Hemiplegia - unilateral ziwalo
• Diplopia - masomphenya owonera kawiri
• Aphasia - zovuta zoyankhula
• Makina otsogola, osayenera
• Zovuta zamitsempha
• Zovuta kuzungulira ndi kupuma (chapakati)
• Khunyu khunyu
• Kugona, kenako kusokonezeka kwa khungu komwe kumayambitsa kukomoka komanso kusowa

• Kuchulukirachulukira
• Mantha ndi nkhawa
• Kuchulukitsa thukuta
• Tachycardia
• Kudzanja kwamanja
• Minofu hypertonicity, kuchuluka kwa minofu minofu magulu
• Mydriasis - ana opukusidwa
• Matenda oopsa
• Pallor wa mucous nembanemba ndi khungu

• Njala
• Zofooka zambiri
• Kuchepetsa mseru
• Kubweza

Anthu omwe ali ndi matenda a shuga adziwa kalekale kuti azindikire vutoli mwa zizindikiritso ziwiri. Otsalawo ayenera kukumbukira njira zingapo zomwe zimatsatizana, ndipo mwachangu. Tsoka ilo, si aliyense yemwe ali ndi zizindikiro zapamwamba, kotero othandizira abwino pamkhalidwewu ndi chipangizo choyeza shuga!

Zizindikiro za hypoglycemia pafupipafupi mwadzidzidzi:

• Zofooka zonse mwadzidzidzi
• Njala
• Kusanza, kusanza,
• Zosangalatsa pamtima
• Kutukwana
• Gwiranani chanza
• Zida zopanda nkhawa komanso mantha
• Chizungulire
• Masomphenya apawiri, ozungulira akhungu,
• Kugona
• Kusokonezeka kwa malankhulidwe ndi kumvetsetsa kwa zomwe zikuchitika,
• Kukhumudwitsa
• Coma
• Imfa.

Sizikumveka zowopsa, koma zoterezi zimachitika ngati chithandizo sichingaperekedwe pa nthawi!

Hypoglycemia mwa ana

Zomwe zimayambitsa izi mwa ana ndi:

• matenda amanjenje ndi endocrine, kuphatikizapo matenda ashuga
• zakudya zopanda thanzi
• kupsinjika
• kuchuluka kwambiri.

Kuphatikiza pa zomwe tafotokozazi, pali zifukwa ziwiri zofunika kwambiri zakukula kwa ana hypoglycemia:

• Kuwonjezeka kwa zomwe zili m'matumbo a ketone m'magazi. Ana otere amakhala ndi mpweya wapadera wa acetone, chizungulire chosalekeza, kusanza, kukomoka, chifukwa cha poizoni wa asetone.
• Kusagwirizana ndi leucine tsankho - amino acid yomwe ndi gawo la mapuloteni, omwe amafunika zakudya zapadera. Zizindikiro zazikulu: ulesi, thukuta, khungu, kugona.

Hypoglycemic yafupipafupi imawonongeratu ana kukula ndi luntha la ana. Chithandizo cha hypoglycemia mwa ana chimachitika komanso mwa akulu. Ndi tsankho la leucine, zinthu monga mazira, nsomba, mtedza, mkaka ndi zina zomwe zimakhala ndi leucine siziyikidwa pambali.

Kuthandizidwa ndi hypoglycemia - chipatala choyambirira komanso zamankhwala

Kuti muthandizidwe msanga, thupi limapanga mapiritsi okhala ndi d-glucose (dextrose) kapena glucagon. Malangizo a mankhwalawa ayenera kudziwika kwa onse omwe ali ndi matenda ashuga komanso anthu omwe akukhala nawo. Odwala omwe amakonda hypoglycemia ayenera kumatenga mankhwala nthawi zonse nawo!

Panthawi yakusowa kwa shuga, zonse kulephera kulipidwa komanso kuchuluka kwa glucose ndizowopsa. Mankhwala osokoneza bongo a glucose mosakayikitsa amatsogolera ku hyperglycemia yotsatira, osakhala yangozi kwa odwala matenda ashuga.

Kuthandizira kuyenera kuyamba kuyeza shuga m'magazi anu ndi mita kuti mutsimikizire kuchepa kwa shuga wamagazi. Mwazi wa magazi uyenera kuyesedwa ngati thandizo liperekedwa. Ngati izi sizingatheke, muyenera kuyimitsa nthawi yomweyo.

Ofatsa

Mutha kuyimitsa pambali panu pakumwa makilogalamu 12-15 osavuta, othandizira kugaya chakudya kuchokera mndandanda pansipa:

• d-glucose (pamapiritsi). Njira yokondedwa kwambiri yokhala ndi chowonetseratu cha zochitika, i.e. kuchuluka kosavuta kwa shuga m'magazi. 1 gramu ya glucose imawonjezera shuga m'magazi ndi 0.22 mmol / L. Kudziwa kuchuluka koyamba kwa shuga m'magazi, ndizosavuta kuwerengera kuchuluka kwa mapiritsi,
• 150 g la msuzi wa zipatso zotsekemera kapena chakumwa chokoma,
• tiyi wofunda ndi supuni ziwiri za shuga,
• 1 nthochi
• 5-6 magawo a maapulo owuma,
• magawo angapo amkaka amkaka kapena maswiti 1,
• Supuni ziwiri za uchi kapena shuga (sungunulani),
• Magawo awiri a shuga woyengeka.

Chidwi Idyani kapena imwani china mwanjira zomwe mwasankhazo! Kuchuluka kwachuma sikuyenera kupitilira.

Ngati pambuyo pa mphindi 15 mpaka 20 shuga wa magazi sanathenso, ndipo mkhalidwewo sukhalabe wosakhutira, mukuyenera kutenganso magalamu 15-20 a mafuta osavuta. Mkhalidwe wa munthu umayenda bwino mkati mwa ola limodzi mutatha kupatsa chakudya, i.e. osadikirira kuti mupumule nthawi yomweyo mutamwa piritsi la glucose.

Madigiri akulu

• Mwansanga mupatseni munthu magalamu 12-16 mpaka 20 a chakudya chambiri. Pakatha mphindi 20, munthu ayenera kudya magalamu ena 15-20 a chakudya (mkate, makeke osokoneza bongo, masikono a mkate, phala).
• Ngati munthu ali wolepheretsa kwambiri, kuti ameza, koma osathanso kutafuna, shuga ayenera kuperekedwa mwa njira yothetsera vutoli, atatha kuchuluka kwa mapiritsi m'madzi ochepa. Kapena mungopereka madzi okoma.
• Kunja, glucose amagulitsidwa mumtundu wa gel, womwe ungagwiritsidwe ntchito mafuta opaka pakamwa, pomwe shuga amayamba kuyamwa m'magazi.

Hypoglycemic chikomokere

Ngati munthu wakomoka kapena chikumbumtima chake chasokonezeka, samamwa zakumwa zam'madzi ndi zinthu zina. Imbani ambulansi.

Thandizo loyamba limakhala ndi jakisoni waminyewa wa 1 ml ya glucagon - zida zowonetsera ndi 1 syringe ndi mankhwala zimagulitsidwa muma pharmacies. Mu chipatala, mankhwalawa a hypoglycemia amachitika ndi intravenous makonzedwe a 40% shuga. Ngati vutolo silikutha, yambani kugwiritsa ntchito njira zina za adrenaline ndi njira zina zokutsitsimutsira.

Zotsatira za hypoglycemia

Kugwedezeka pafupipafupi kwa vutoli kumatha kuyambitsa ziwengo zam'miyendo ndi m'maso, kuonjezera mwayi wokhala ndi matenda a mtima, mitsempha yamagazi, ndi ubongo. Imfa ya munthu yemwe wagwa mu vuto la hypoglycemic imachitika chifukwa cha kufa kwa maselo aubongo omwe amadya glucose. Izi ndizowopsa, koma zenizeni, ngati simuthandiza munthu nthawi.

Udindo wa shuga m'thupi

Glucose ndiye gawo lalikulu lamphamvu lothandizira thupi, limalowa mgawo lonse. Chifukwa chake, kuchepa kwake kumakhudza kugwira ntchito kwa khungu lililonse m'thupi lathu. Chachikulu kusinthasintha kwa glycemic khalani pachiwopsezo cha moyo. Hyperglycemia yomwe imatenga nthawi yayitali imagwirizanitsidwa ndi kusayenda bwino kwa ziwalo zambiri.

Hypoglycemia ndi mkhalidwe wovuta kwambiri womwe ungawononge moyo. Chochititsa chidwi, hypoglycemia mu mtundu 2 wa shuga ndiwocheperako kuposa mtundu wa 1 shuga.

Pali magawo atatu a hypoglycemia: zofewa, zolimbitsa thupi komanso zolemera.

Zambiri hypoglycemia

Hypoglycemia yayikulu imachitika pamene wodwalayo ali ndi shuga osakwana 50 ml / dl. Muzochitika zoterezi, zimatha kuyamba Hypoglycemic mantha, zomwe zimawonetsedwa ndi kusakhala ndi chikumbumtima komanso chikomokere.

Nthawi zambiri, zimabwera kwa anthu omwe ali ndi matenda a shuga 1 omwe amwa insulin kwambiri. Pankhani ya hypoglycemia yayikulu, ndikofunikira kutenga 10 g g ya shuga posachedwa - ikhoza kukhala chidutswa cha chokoleti, kapu ya madzi kapena tiyi wokoma.

Wodwala akayamba kuzindikira, nthawi yomweyo mupatseni mankhwala a glucagon, ndipo, ngakhale zili choncho, wodwalayo sangathe kuchira mkati mwa mphindi 10, muyenera kulankhulana ndi dipatimenti yodzidzimutsa.

Anthu omwe ali ndi matenda ashuga amayenera kuyesetsa kukhalabe ndi shuga. Ndizowopsa kukhala ndi glucose wambiri komanso wambiri dontho mu shuga. Pakachitika zinthu Zizindikiro za hypoglycemia iyenera kuyankha mwachangu, chifukwa imatha kuwononga ubongo.

Zomwe zimayambitsa ndi Zizindikiro za shuga ochepa wamagazi

Timalankhula za hypoglycemia pomwe shuga m'magazi amatsika pansi pa 2.8 mmol / L (50 mg%). Shuga (glucose) ndikofunikira kuti ubongo ugwire ntchito moyenera. Zochuluka kwambiri shuga wotsika kumabweretsa zosokoneza mu chapakati mantha dongosolo.

Anthu omwe akuvutika ndi vuto la hypoglycemia amakhala ndi mantha komanso amkali, amakhala ndi mavuto a kukumbukira, amakhala ndi njala, ofooka, amakhala ndi nkhawa komanso chizungulire. Nthawi zina hypoglycemia imatha kubweretsa kukomoka.

Zina Zizindikiro za hypoglycemia:

Vuto lalikulu ndikuti odwala matenda ashuga, atadwala zaka zingapo, sangathe kumva zizindikiro zoyambirira za hypoglycemia. Izi zikutanthauza kuti zizindikiro zimawoneka panthawi yomwe wodwala matenda ashuga sangathe kulimbana ndi vutoli popanda thandizo la munthu wina.

Hypoglycemia mwa anthu omwe ali ndi matenda ashuga nthawi zambiri amapezeka pambuyo pakuchita masewera olimbitsa thupi, kumwa mowa mothandizidwa ndi matenda a chiwindi, kutopa kwa thupi, komanso chifukwa chogwiritsa ntchito kwambiri insulin kapena mankhwala ena a anti-glucose, komanso kugwiritsa ntchito beta-blockers.

Hypoglycemia imatha kukhalanso m'mawa, musanadye. Zomwe zimayambitsa zimatha kukhala chotupa, kulephera kwa chiwindi, matenda a impso, komanso kugwira ntchito molakwika kwa adrenal cortex ndi gitu. Mbali yomwe hypoglycemia imachitika mutatha kudya, chifukwa chake pamachitika ntchito yovuta yam'mimba (kusokonezeka pakukhalanso m'mimba, mavuto atatha pamimba), komanso kufooka kwamtundu.

Hypoglycemia imatha kuchitika pamene wodwala wavulala insulin ndipo osadya chakudya. Ngati kugona msanga kumakula, muyenera kudya chidutswa cha mkate ndi uchi kapena kupanikizana, maswiti. Vutoli limadutsa mwachangu. Komabe, ngati njira zomwe tatchulazi sizikubweretsa zotsatira, muyenera kufunsa dokotala. Panthawi yomwe anthu sakhudzidwa kwambiri ndi matenda ashuga, kuthandizidwa mwadzidzidzi ndikofunika.

Anthu omwe ali ndi matenda a shuga a mtundu wachiwiri omwe ali ndi hypoglycemia amatha kukwiya komanso kufooka, kumva kupweteka kwam'mimba, kugona, komanso mavuto okhala ndi nkhawa. Zizindikiro za hypoglycemia zikaonekera mwa wodwala yemwe ali ndi matenda a shuga a 2, ayenera kudya china chake chokoma msanga. Popewa kuchepa kwa shuga usiku, odwala amalangizidwa kuti azidya, mwachitsanzo, tchizi cha kanyumba asanagone.

Kuzindikira ndi kuchiza matenda a hypoglycemia

Kuzindikira kwa hypoglycemia kumayamba ndi kusiyanasiyana ndi matenda ena. Zizindikiro za hypoglycemia zimafanana ndi matenda amisala, stroko, ndi khunyu. Ndikofunikanso kuti hypoglycemia ichitike mwa munthu wodwala matenda ashuga komanso mwaumoyo.

Kutha Zizindikiro za hypoglycemia, muyenera kumwa chakumwa chokoma posachedwa kapena kudya zipatso (mwachitsanzo, nthochi) kapena sangweji. Wodwalayo atazindikira, ndikofunikira kumuyika pamalo ake kuti wodwalayo asaluma lilime lake, kenako ndikupatsanso glucagon intramuscularly. Ndikofunikanso pankhaniyi kuyitanitsa chithandizo chamankhwala nthawi yomweyo.

Njira Zochizira Hypoglycemia zimatengera shuga. Ndikokwanira kwa wodwala yemwe ali ndi hypoglycemia yokhazikika kupangira shuga kapena sucrose (mwachitsanzo, mu mawonekedwe a madzi a zipatso). Anthu omwe ali ndi vuto lalikulu la hypoglycemia yemwe amawonongeka kudzera m'mitsempha kapena glucagon intramuscularly (pambuyo podziwa, wodwalayo amatenga shuga mkati).

Ndikofunikira kunena kuti glucagon sayenera kuperekedwa kwa anthu omwe amamwa mowa.

Thupi lathu limayesetsa kulimbana ndi hypoglycemia yokha. Kuti muchite izi, kumawonjezera kubisalira kwa adrenaline, cortisol ndi glucagon. Komabe, kuchuluka kwa shuga m'magazi kumatha kuchitika pambuyo pa maola 12. Ngati panthawiyi wodwala amatenga shuga wowonjezera, zomwe zimachitika mthupi zimatha kuyambitsa hyperglycemia. Ngati wodwala akudwala kwambiri hypoglycemia (glucose imatsika pansi pa 2.2 mmol / l), ndiye kuti chithandizo chanthawi zonse ndizofunikira.

Kufotokozera ndi zomwe zimayambitsa hypoglycemia

Mkhalidwe wa munthu, pamene kuchuluka kwa shuga m'magazi kumatsika mpaka 3,2 mmol / L kapena kutsikira, kumakhala kofanana ndi hypoglycemia. Zinthu zikayamba kuchitika, ngakhale anthu athanzi labwino amayamba kumva kuwonongeka. Kuperewera kwa shuga kumasokoneza thanzi la ziwalo zonse, koma ubongo umakhala ndi vuto lalikulu. Ngati simukweza shuga panthawi yoyenera, munthu atha kudzidzimuka mwadzidzidzi, ngakhale kugwa kumene, komwe pamapeto pake kumawopseza imfa.

Hypoglycemia siidziwa onse odwala matenda ashuga okha, komanso kwa anthu omwe ali ndi vuto lalikulu la kubadwa kwa endocrine komanso mavuto azaumoyo.

Zomwe zimapangitsa shuga kugwa:

1. Chakudya chambiri komanso chopanda malire.
2. Kupuma kotalika pakati pa chakudya, chifukwa chomwe chakudya chawo chimatha, ndipo kukonzanso kwake sikuchitika panthawi yake.
3. Kuperewera kwa chakudya, zomwe ndizofunikira kwa odwala matenda ashuga.
4. Masewera olimbitsa thupi kapena kupsinjika kwa malingaliro.
5. Kulandila zakumwa zoledzeletsa kapena zakumwa zozizilitsa kukhosi za kaboni. Zowoneka zachisoni za kugona kwake ndikuyamba kukweza shuga, ndipo patapita kanthawi pang'ono zimayambitsa kutsika kwa magazi ake.

Magawo a hypoglycemia

Kukhazikika kwa hypoglycemia kumachitika mwachangu mwachangu. Ngakhale izi, pali magawo atatu omwe shuga amachepetsedwa:

1. Gawo losavuta. Malingaliro a hypoglycemia amangowoneka. Itha kuyimitsidwa mosavuta ngati mutatenga mphindi 5 kapena 10 zochepa za mankhwala okhala ndi chakudya.
2. Yapakatikati. Gawo lino limatha kupitirira mphindi 10 ndipo nthawi zina limafikira hafu ya ola ngati chakudya chamafuta sichikupatsidwa chakudya. Sinthani kuchuluka kwa shuga m'magawo oterewa kumatha kuchitika mukatha kudya.
3. Omaliza. Gawoli lodziwika ndi gawo lakuyamba la thupi pakadutsa hypoglycemia. Munthu amakhala ndi kukomoka, amatha kukomoka, kapenanso kukomoka. Zikatero, chisamaliro chofunikira chimafunikira, chifukwa ndizosatheka kuwonjezera shuga kunyumba.

Zizindikiro za Kutha kwa Glucose

Ndizotheka kudziwa kuti kuchuluka kwa shuga m'magazi kukuyandikira mfundo zotsika mwazomwe zimakhala.

1. Pamakhala kutentha thupi lonse komanso kuthamanga kwa magazi pankhope.
2. Mutu umawoneka, womwe umasinthidwa ndi chizungulire.
3. Kusweka kwa mtima kumayamba mwachangu.
4. Pali kufooka.
5. Pamakhala kunjenjemera m'manja komanso kunjenjemera.
6. Kumva njala.
7. Kuukira mseru kungachitike.
8. Kutaya kolowera m'malo.
9. Zowonongeka. Zozungulira mizere yofiirira kapena yakuda imatha kuwoneka, zinthu zimayamba kuwiririka.
10. Munthu amazunzidwa ndi nkhawa zopanda pake kapena mantha.
11. Pali kugona, komwe kumavuta kuthana.
12. Pogona, anthu amayamba kulota.
13. Nthawi zina, malingaliro osakwanira amachitika.
14. Kulankhula kumakhala kosagwirizana ndi kudekha.

Kuyamba kwa hypoglycemia kumatha kutsagana ndi kuwonekera kwa zina mwazizindikiro zomwe zalembedwa. Zizindikiro zimangokulira ngati palibe kuchuluka kwa thupi kwakanthawi ndi chakudya.

Anthu odwala matenda ashuga omwe amadziwa kale matendawa amadziwa zoyenera kuchita. Amazindikira msanga hypoglycemia ndipo amatha kusiyanitsa ndi chisangalalo chabwinobwino. Anthu omwe sanakumanepo ndi vuto la glucose molakwika amatenga nkhawa yanthawi yayitali chifukwa chodwala. Tsimikizani kapena kukana mfundo ya kuyambika kwa hypoglycemia pogwiritsa ntchito muyeso wa glucometer. Chipangizochi chimakulolani kuti muzindikire molondola kuchuluka kwa shuga m'magazi.

Shuga wochepa: momwe mungakulitsire msinkhu wake

Zakudya zomanga thupi zimathandiza kudzaza kusowa kwa shuga. Magalamu 12 a chinthu ichi ndi XE imodzi (mkate). Lingaliro ili ndilodziwika kwa onse odwala matenda ashuga. Magawo a mkate amawaganiziridwa tsiku ndi tsiku pokonzekera zakudya za odwala, kusankha kwa endocrinologist wa Mlingo wa mankhwala a insulin kapena mankhwala okhala ndi mapiritsi apadera. Kumwa 1 XE kumathandizira kukweza shuga m'magazi kuchokera ku 1.5 mmol / L mpaka 3.

Mutha kuthana ndi hypoglycemia pakudya mikate ya mkate. Kuchuluka kwawo ndi kugwiritsidwa ntchito kwawo kumadalira gawo la chitukuko cha hypoglycemia.

Zochita kumayambiriro kwa hypoglycemia wofatsa

Mutha kuwonjezera shuga pogwiritsa ntchito njira zotsatirazi:

• Idyani kotala ya chokoleti, maswiti amodzi kapena zidutswa zitatu za matailosi wamba (masekeli 100).
• Imwani tiyi wofunda wokoma ndi kuwonjezera supuni ziwiri za uchi kapena shuga.
• Idyani theka la nthochi kapena magawo angapo a maapulo owuma, zipatso.

Mutha kutuluka mumkhalidwe wofatsa wa hypoglycemia mothandizidwa ndi ma carbohydrate, omwe amalowetsedwa mosavuta mthupi. Osayesa kuthana ndi kumverera kwanjala ndi chimanga kapena masangweji, chifukwa zinthu izi zidzagweranso thupi. Zotsatira zake, shuga sangathenso kukwera msanga, ndipo hypoglycemia imasandulika kukhala mawonekedwe ovuta kwambiri. Kuchuluka kwa XE komwe kumadyetsedwa kumapangitsa kuti shuga azikula kwambiri, motero ndikokwanira kudzilimbitsa nokha mpaka 15 magalamu a chakudya nthawi imeneyi.

Zochita kumayambiriro kwa gawo loyambira la hypoglycemia

Kuchepa kwa shuga m'munsi mwa mtengo wa 2.7 mmol / L kumafunikira chakudya chamagulu ochulukirapo:

1. Zimafunikira kudya XE imodzi yazakudya zamafuta othamanga.
2. Pambuyo mphindi 15, idyani chakudya china chimodzi.
3. Kwezani shuga pambuyo mphindi 15. Ngati shuga wanu akadali wotsika, idyani 1 XE ina.

Hypoglycemia ikayamba, wodwalayo angafunikire kuchuluka kwa chakudya komanso kuchuluka kwa shuga ndi glucometer kuti akweze shugayo kukhala wolondola.

Zochita kumayambiriro kwa gawo lotsiriza la hypoglycemia

Kutaya chikumbumtima kapena kuyambika kwa chikomokere ndizoopsa kwambiri komwe munthu amakhala nako chifukwa chakuchepa kwambiri kwa shuga m'magazi. Zovuta zam'mbali zomaliza za hypoglycemia zili m'lakuti wodwalayo sangathenso kupirira yekha. Zikatero, simuyenera kupulumutsa munthu pomupatsa tiyi kapena madzi otsekemera. Izi zimatha kuyambitsa matenda amphumu.

Chikomoka chikachitika, zotsatirazi ziyenera kuchitika:

1. Itanani gulu ladzidzidzi.
2. Ngati ndi kotheka, jekeseni wodwala ndi shuga wa gramu 1 gramu isanafike akatswiri. Mankhwalawa amalimbikitsa kutulutsa kwadzidzidzi kwa zonse zokhuthala kuchokera ku chiwindi kupita m'magazi. Kuchita koteroko sikungakhale kokwanira kuchotsa munthu pachabe, koma kumachepetsa mwayi wakufa.
3. Ngati glucagon alibe pafupi, mutha kuyika munthu kumbali zonse ziwiri podikirira ambulansi ndikuyika kachidutswa kakang'ono ka shuga m'matama.

Kodi mungapewe bwanji matenda ashuga hypoglycemia?

Malamulo otsatirawa amathandiza kuteteza munthu ku zowopsa za hypoglycemia:

1. Kutsatira kwathunthu malangizo a endocrinologist okhudza zakudya, Mlingo wa mankhwala a insulin. Ngati kupuma kwa hypoglycemia kumachitika mobwerezabwereza, wodwalayo ayenera kudziwitsa dokotala za matendawo. Katswiri amatha, ngati pakufunika, asinthe mankhwala.
2. Werengani mabuku omwe akuwulula monga "shuga", "insulin", "mkate". Nthawi yochita pafupipafupi ndi endocrinologist mwina singakhale ndi nthawi yokwanira kufunsa adokotala mafunso onse. Ndikofunikira kuti wodwalayo ayesere kudziwona yekha ali ndi matenda.
3. Anthu ozungulira odwala matenda ashuga ayenera kudziwa za matendawa kuti apereke chithandizo chofunikira pakadutsa matenda a hypoglycemia. Kuyesa kubisala matendawo kungayambitse wodwala, chifukwa chake simuyenera kuchita manyazi ndi matendawa.
4. Anthu odwala matenda ashuga ayenera kukhala pafupi ndi maswiti kapena shuga wokhazikika. Zakudya zamafuta zimatha kuthana ndi hypoglycemia yosayembekezereka. Lamuloli ndilowona makamaka kwa anthu omwe akuyenda nthawi yayitali.
5. Musanagwiritse ntchito mankhwala aliwonse, muyenera kuwerenga malangizo. Mankhwala ena amakhala ndi zinthu zomwe zimayambitsa kutsika kapena kuchuluka kwa shuga m'magazi.
6. Pimani mulingo wa shuga ndi glucometer musanayambe kuchita masewera olimbitsa thupi kapena masewera. Ngati mtengo wamagulu a glucose musanatsike, muyenera kudya musanadye.
7. Odwala omwe ali ndi matenda ashuga, foni yolumikizidwa nthawi zonse iyenera kukhala pafupi. Ndikofunikira kuti mukhale ndi nthawi yoyitanitsa ambulansi nthawi yoyenera.
8. Pewani kumwa mowa. Mitundu yosiyanasiyana ya zakumwa zoterezi zimatha kuwonjezera shuga kapena kutsitsa mulingo wake.

Kodi munthu wathanzi angadzitetezere bwanji poyambika kwa hypoglycemia?

Chochulukitsa chomwe chimapangitsa kuti shuga achepetse anthu opanda shuga ndi chakudya chopanda thanzi. Kumva kufooka, chizungulire komanso thukuta, khalidwe la hypoglycemia, amatenga kutopa wamba kuntchito kapena kupsinjika.

Anthu ena amachepetsa glucose wamagazi ndi zakudya zomwe zimapangidwa kuti ataye mapaundi owonjezera. Njira iyi yokhudzana ndi zakudya zopatsa thanzi imabweretsa kuchepa kwa mavitamini okha, komanso kutayika kwa malo omwe amasungidwa shuga. Kutsika kwambiri kwa glucose pakudya kwambiri kungapangitse kukomoka.

Malamulo omwe akuyenera kutsatidwa pofuna kupewa hypoglycemia ndi awa:

1. Zakudya zamagulu omwe amakhala ndi zopatsa mphamvu pang'ono ziyenera kutsatiridwa kokha ndi odwala matenda ashuga kapena anthu omwe ali ndi zisonyezo zaumoyo. Kupanda kutero, kuchepa kwa michere kumachitika.
2. Gwiritsitsani zakudya zabwino. Kupuma kotalika pakati pa chakudya, kusowa kadzutsa ndi vuto lalikulu la hypoglycemia.
3. Musachotsere maswiti odya kwambiri. Kugwiritsa ntchito mopitirira muyeso kwa iwo kumayambitsa kuchuluka kwa glucose, kenako kutsika kwake kowopsa m'magazi.
4. Kuyesani kuchipatala kuti mumve zambiri za hypoglycemia. Glucose wotsika amafunika kuti azindikiridwe msanga momwe angathere kuti asinthe zakudya komanso kuti achepetse matenda a shuga.

Zambiri:

Zimayambitsa khungu kukwiya kwadzidzidzi kwa munthu, kutuluka thukuta kwambiri, kunjenjemera, kuphatikiza manja, kunjenjemera, kuchita mantha kwambiri, nkhawa, kuchitika ndi njala yosalamulirika, kapenanso kukomoka. Zizindikirozi zimatha kudwala onse odwala komanso anthu athanzi labwino. Aliyense amene ali ndi vuto lotere amadziwa momwe angawonjezere shuga. Ndikokwanira kudya china chake chokoma: maswiti, shuga woyengedwa kapena kapamwamba ya chokoleti, kumwa iwo ndi madzi kapena kumwa madzi amtundu wa zipatso - ndipo mulingo wa glucose ubwerera mwakale.

Zoona komanso zabodza za hypoglycemia

Hypoglycemia yeniyeni, kapena kuchepa kwenikweni, akatswiri amalingalira kuti gawo la 2.8-3.3 mmol / L. Komabe, Zizindikiro zosasangalatsa zimatha kuonekanso pamitengo yapamwamba (kuyambira 6 mpaka 9 mmol / L), makamaka mwa anthu omwe ali ndi matenda ashuga. Madotolo amatcha izi hypoglycemia.

Pakuchepa, ziwalo ndizosakwanira muzakudya, zomwe wogula, bongo, zimakhudzidwa makamaka. Ngati patapita nthawi, osati chifukwa cha kusowa kwa glucose, ubongo umatha "kuzimitsidwa", ndipo munthuyo amayamba kuzindikira.

Zomwe Zimapangitsa Kuti Magazi Aziyandikira kwa Anthu athanzi

Pali nthawi zina pomwe kukumana ndi zizindikilo zochepa zowopsa. Izi ndi chifukwa cha zakudya zopanda mphamvu zomwe zimagwiritsidwa ntchito pophika mphamvu, kuwononga nthawi yayitali pakati pa chakudya, pomwe chakudya chamafuta chimatha, kuphatikizapo kusowa kwa chakudya cham'mawa, masewera olimbitsa thupi kapena kupsinjika kwamalingaliro, glycogen woyaka kwambiri kuposa momwe chiwindi chamunthu chimapangira kuchokera ku chakudya chamafuta.

Mafani a mowa amathanso kukhala ndi vuto la hypoglycemia. Ngakhale kuti mowa umachulukitsa shuga wamagazi, kuperewera kwake kumadziwonetsera mu lamulo lotchedwa pendulum: patapita kanthawi, kuchuluka kwa glucose kumatsika kwambiri, ndikukulitsa vutolo. Zakumwa zokoma za kaboni zimakhala ndi zofanana leapfrog.

Ndi zakudya ziti zomwe zitha kuwonjezera shuga wamagazi?

Polimbana ndi munthu wabwino, pophunzitsa masewera olimbitsa thupi komanso musanachite nawo, muyenera kudya zakudya ndi zakumwa zomwe zimakwaniritsa kuchepa kwa chakudya. Uchi wachilengedwe umachulukitsa shuga wamagazi chifukwa cha fructose, shuga ndi sucrose pakapangidwe kake. Ngati munthu wathanzi amatha kusangalala ndi 50-75 g ya njuchi patsiku, wodwala matenda ashuga ayenera kukhala wokhutira ndi zomwezo sabata limodzi.

Mitengo iwiri ya tiyi ya jamu yokhala ndi tiyi imalipira shuga, ndipo chakudya chokhazikika cha zisanu ndi zisanu ndi chimodzi patsiku chimathandizira kupezeka kwa mphamvu mosasokonezeka. Kuukira pafupipafupi kwa hypoglycemia kumatha kuwongoleredwa ndikuwonjezera kuchuluka kwa caloric pachakudya, kugwiritsa ntchito mafuta acids (omega-3 ndi omega-6). Nsomba zam'nyanja okazinga, nthanga za maungu, ndi mitundu ina ya mafuta a masamba zimathandiza kudzaza kuchepa kwawo. Zinthu zomwe zimakhala ndi chromium zimathandizira kuwonjezera shuga la magazi ndikusunga mulingo wake: mtedza, maapulo, nsomba zam'madzi, tchizi, tirigu wophukira.

Kodi pali chiopsezo chotani pakuchepa kwa shuga wamagazi

Ngati kuyamba kwa hypoglycemia sikungalephereke pakapita nthawi, munthu amatha kuwonongeka kwa ubongo osasinthika: Khalidwe losayenera, kusokonezeka m'malo, mutu, kugona, kuvuta kukumbukira komanso kusokonezeka.

Zakudya zabwino ndizoyenera, ndipo zakudya zopatsa mphamvu ziyenera kupezekanso ndi mapuloteni ndi mafuta! Sungani thanzi kwa zaka zambiri - ntchito yayikulu kwa munthu aliyense. Izi ndizofunikira kwambiri pakugonana kofowoka, kudziphatikiza ndekha ndikuphunzitsa komanso kuchepetsa shuga chifukwa chogwirizana komanso kukongola.

Kutsika kwakukulu kwamisempha yamagazi kumayendera limodzi ndi zizindikiro zotsatirazi: kukomoka, kusayenda bwino, kufooka, kuthamanga kwa mtima, kusakwiya, kuda nkhawa, thukuta, komanso kumva mwadzidzidzi njala. Popeza zomwe glucose ali nazo zakugwa, zikutanthauza kuti ndikofunikira mwachangu kukweza mulingo wake. Vutoli limachitika makamaka mwa anthu omwe amachita masewera olimbitsa thupi, komanso kwa omwe akudzivutitsa ndi zakudya.

Nazi njira zokulitsira shuga wanu wamagazi. Malangizo otsatirawa akuthandizani kuwonjezera msanga:

• Osamapuma nthawi yayitali pakati pa zakudya zoyandikana. Popeza izi zimatha kubweretsa kuwononga kwathunthu mphamvu kuchokera ku chakudya, ndipo, chifukwa chake, kutsika kwa glucose. Muyenera kudya pafupipafupi: kasanu kapena kasanu ndi kamodzi patsiku,
• khofi ndi kusuta kumapangitsa kuti magazi athu asachulukane. Yesetsani kuchepetsa kuchuluka kwa khofi amene amamwa, ndipo ndibwino kusiya kusuta kwathunthu. Izi zitha kukuthandizani kuti muwonjezere shuga.
• vuto la hypoglycemia, zomwe zimachitika ndizovuta, kupezeka kwacangu kwamphamvu kumathandizira kukweza shuga. Kuti muwonjezere msanga m'magazi, idyani supuni zochepa za jamu kapena uchi, zidutswa zingapo za shuga kapena maswiti angapo, imwani chilichonse ndi madzi kapena chakumwa china. Mutha kuonjezeranso shuga wanu pakumwa mandimu kapena msuzi wa zipatso, kenako ndikudya mpukutu woyera kapena cookie. Pakupita mphindi zochepa, shuga azidzuka, ndipo thanzi lanu likhala bwino.
• "Njala ya shuga" imatha kuchitika chifukwa mumadya pang'ono, chifukwa mphamvu m'thupi lanu siyokwanira, ndipo imakamizidwa mwachangu. Pankhaniyi, ndikofunikira kuwonjezera zopatsa mphamvu za calorie ndi zakudya zopatsa thanzi, kuwonjezera kuchuluka kwa malonda omwe ali ndi index yotsika ya glycemic. Sinthani ku zakudya zamafuta ambiri. Awa ndi mafuta a masamba, nsomba, mitundu ina ya mbewu. Mufunikanso ma chrome omwe amapezeka muzitsamba za tirigu, mtedza, maapulo, tchizi ndi nsomba zam'madzi,
• musayese kudya ufa ndi zakudya zotsekemera, muchepetsani kumwa ndi zakumwa zozizilitsa kukhosi. Chifukwa zomwe mchere umapezeka mkati mwake ndiwambiri, zomwe zimapangitsa kuti magazi ake azingowonjezereka, koma kenako kulumpha kwina - thupilo liziphonyanso,
• kuwonjezera kuchuluka kwa shuga m'magazi musanayambe masewera olimbitsa thupi ndikatha kumwa zakumwa kapena zinthu zokhala ndi kaboni,
• Chakudya chabwino kwambiri ndichakudya chopatsa thanzi, chomwe chimaphatikizapo kuchuluka kwa mapuloteni, mafuta ndi chakudya, komanso zinthu zofunika kufufuza ndi mavitamini, m'malo momadya zakudya zamtundu umodzi kapena kusala kudya.